Dynamic Mobility PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC MOBILITY PT PC

Practice address

12 W 32ND St FL 2
New York, NY 10001-0291

Phone

(212) 564-1181

NPI assigned

May 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christian OlivaresNPI 1285718247

Title

PT

Phone

(646) 431-5900

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christian Bancaya Olivares, PT

  • Physical Therapist
  • Westbury, NY
  • NPI 1285718247
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1932847506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W 32ND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010291",
            "telephone_number": "212-564-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 32ND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010291",
            "telephone_number": "212-564-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MOBILITY PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "646-431-5900"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "address_1": "12 W 32nd St Fl 2",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100010291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.